Conditions · Celiac Disease
Accurate testing, a clear diagnosis and practical guidance for living well gluten-free, from experienced gastroenterologist Dr. Amjad Awan.
Understanding Celiac Disease
Celiac disease is an autoimmune condition in which eating gluten, a protein found in wheat, barley and rye, causes the immune system to damage the lining of the small intestine. Over time this damage can prevent your body from absorbing nutrients.
Celiac disease affects about 1 in 100 people, and many are undiagnosed for years because symptoms vary so widely.
Signs & Symptoms
Celiac disease can affect the digestive system and the whole body. Some people have no symptoms at all.
Chronic loose stools or frequent bowel movements.
Uncomfortable fullness and gas after meals.
Low energy, often linked to iron-deficiency anemia.
Unintended weight loss from poor absorption.
An itchy, blistering rash called dermatitis herpetiformis.
Early osteopenia or osteoporosis.
Diagnosis & Treatment
Keep eating gluten until testing is complete. Starting a gluten-free diet too early can cause false results.
A tTG-IgA blood test, often with a total IgA level, screens for celiac disease.
Small biopsies from the duodenum confirm the diagnosis.
You start a strict gluten-free diet, with nutrition and vitamin support as needed.
Repeat blood tests and visits confirm healing and catch complications early.
Celiac Care in Denton
The only treatment for celiac disease is a lifelong, strict gluten-free diet. With the right guidance, most people feel much better within weeks and the intestine heals over months.
Testing is recommended for people with ongoing digestive symptoms, unexplained iron-deficiency anemia, early bone loss, type 1 diabetes, autoimmune thyroid disease, or a parent, sibling or child with celiac disease.
If symptoms persist on a gluten-free diet, hidden gluten exposure is the most common cause. Dr. Awan can also evaluate other conditions such as microscopic colitis, lactose intolerance or small intestinal bacterial overgrowth.
Learn more in our article Celiac Disease: Signs, Testing and Living Gluten-Free.
FAQ
No. Celiac disease is an autoimmune condition that damages the small intestine. Non-celiac gluten sensitivity can cause symptoms without that damage.
Yes. Celiac disease can be diagnosed at any age.
In most adults, an upper endoscopy with biopsy is used to confirm the diagnosis after a positive blood test.
It runs in families. Close relatives of someone with celiac disease have a higher risk and may benefit from testing.
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Talk with an experienced gastroenterologist about testing and treatment. Call our office today.